Femsport Entry Form

Official Entry Form

---------- ONE ENTRY FORM PER ATHLETE ----------

EDMONTON CHALLENGE
Presented by City Fit Shop

~ IMPORTANT ~
REGISTRATION FULL
Completing this entry form will place you on a waiting list and you will be notified if/when a space becomes available. IF a spot does not become available or you do not wish to remain on the waiting list, your entry fee will be fully refunded.

EVENT LOCATION

SPRUCE AVE COMMUNITY CENTRE
10240 115 Ave., NW
Edmonton, AB
--------------------------------------------------------------------------------------

EARLY BIRD: $115 | REGULAR: $125 | LATE: $150

BEFORE May 22nd, 2017 | AFTER May 22nd, 2017 | day prior to event

YOUR NAME:

First Name Last Name

E-MAIL *

PHONE NUMBER: *

MAILING ADDRESS: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

AGE (must be 19+) *

DIVISION: *

ARE YOU ON A TEAM? *

Yes No

TEAM NAME: *

Team Mate #1 *

First Name Last Name

Team Mate #2 *

First Name Last Name

Are you REPLACING a PRE-ENTERED ATHLETE? *

Yes No

Who are you replacing? *

First Name Last Name

In order to confirm your entry and keep you posted on event details and information, please click the "PERMISSION TO EMAIL" box below.
You may opt out at any time.

PERMISSION TO EMAIL *

Yes

HOW DID YOU HEAR ABOUT FEMSPORT? *

Website Facebook Twitter Newspaper Magazine Fitness Facility Friend Email (newsletter)

EARLY BIRD: $115 | REGULAR: $125 | LATE: $150

BEFORE May 22nd, 2017 | AFTER May 22nd, 2017 | day prior to event

REGISTRATION FEES ARE NON-REFUNDABLE...NO EXCEPTIONS!!

All entries received after capped amount will be placed on a waiting list and ONLY these entries will be refunded if a spot does not become available.

ENTRY FORMS / FEES ARE NON-TRANSFERABLE...NO EXCEPTIONS!!

Entry forms and fees are specific to the event entered into and may not be transferred to another event.

~ IMPORTANT ~
REGISTRATION FULL
Completing this entry form will place you on a waiting list and you will be notified if/when a space becomes available. IF a spot does not become available or you do not wish to remain on the waiting list, your entry fee will be fully refunded.

ENTRY FEE PYMT (non-refundable) *

EDMONTON (after May 22nd, 2017) $ 125.00 CAD

EDMONTON (paid day before event) $ 150.00 CAD

Enter coupon

Subtotal: $ 0.00 CAD Tax: $ 0.00 CAD Total: $ 0.00 CAD